Medicaid entitlement for 49 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded $741.617 million to the State of Rhode Island Department of Administration, Office of Library & Information Services, on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778).

The award funds medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting Rhode Island's income and resource requirements. The program also covers Medicare premiums, copayments, and deductibles for qualified Medicare beneficiaries within certain income thresholds.

The funding covers the period October 1, 2025, through September 30, 2026, with performance in Rhode Island. As a block grant entitlement, the award provides quarterly distributions based on the state's estimates of funds needed to deliver Medicaid coverage through participating medical care providers. The State of Rhode Island serves as the parent entity; the Department of Administration's Office of Library & Information Services operates as the administrative recipient responsible for managing the grant in accordance with the HHS-approved Medicaid State Plan and federal regulations governing medical assistance to eligible populations.